North Carolina CNA Written Practice Exam

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What does the OBRA act require from CNA's before employment?

Completion of a nursing degree
Pass a competency evaluation
Obtain a nursing license
Complete a background check

The correct answer is: Pass a competency evaluation

The OBRA (Omnibus Budget Reconciliation Act) enacted in 1987 established specific requirements for nursing assistants, including the completion of a competency evaluation before employment. This evaluation ensures that CNAs possess the necessary skills and knowledge to provide safe and effective care to patients. The competency evaluation typically includes both a written test and a practical skills assessment, enabling prospective CNAs to demonstrate their abilities in a hands-on environment. This requirement aims to raise the standard of care in nursing facilities and to ensure that CNAs are adequately trained to meet the needs of those they serve. Completion of a nursing degree is not necessary because the OBRA specifically focuses on training and competency assessments for nursing assistants rather than for nursing professionals who hold advanced degrees. Likewise, while obtaining a nursing license is applicable to registered nurses (RNs) and licensed practical nurses (LPNs), it is not a requirement for CNAs. Although background checks may be part of the hiring process for some facilities, they are not mandated by OBRA for the fulfillment of the CNA role. Therefore, the competency evaluation is the essential requirement set forth by OBRA for CNAs before they can begin their employment.